JACKSON, KEVEN
NPI: 1932294006
· CAMBRIA HEIGHTS, NY 11411
· Dentist
· NPI assigned 10/04/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$292.23 |
| 2020 |
52 |
$866.34 |
| 2021 |
63 |
$2K |
| 2022 |
27 |
$731.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
101 |
101 |
$2K |
| D1110 |
Prophylaxis - adult |
44 |
44 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$78.40 |